Thirty-day readmissions after inpatient laparoscopic cholecystectomy: Factors and outcomes

Gurteshwar Rana, Jasneet Singh Bhullar, Gokulakkrishna Subhas, R. B. Kolachalam, V. K. Mittal

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

Abstract

Background 30-day readmissions are a considerable financial burden on medical institutions due to penalties faced from the Centers for Medicaid and Medicare. Methods A retrospective review of 30-day readmissions was performed. The data were subdivided into medical severity-diagnostic related groups 417, 418, and 419, as categorized by the Centers for Medicaid and Medicare. Perioperative variables, diagnostic workup, operative interventions, and postoperative morbidity and outcomes were analyzed. Results Forty-four (5.9%) readmissions were recorded, of 747 inpatient discharges. The data were further divided into DRGs 417, 418, and 419 with readmission rates of 13.6, 3.6%, and 5.4%, respectively. The highest rate of readmission was within the first 7 days. Etiology was divided into surgical (54.5%) and nonsurgical (45.4%). Conclusions Patients with major comorbidities had a higher rate of readmission (P <.05). In 45.4% of the readmissions, the cause was found to be nonsurgical. The surgical team was not consulted in 31.8% of the readmissions.

Original languageEnglish (US)
Pages (from-to)626-630
Number of pages5
JournalAmerican journal of surgery
Volume211
Issue number3
DOIs
StatePublished - Mar 1 2016

Keywords

  • 30-day readmissions
  • Inpatient
  • Laparoscopic cholecystectomy
  • Major comorbidities
  • Reducing readmission rate

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